Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Radiation Therapy Services, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Radiation Therapy Services, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
J Med Imaging Radiat Sci. 2020 Mar;51(1):29-39. doi: 10.1016/j.jmir.2019.11.141. Epub 2020 Feb 13.
To examine the attitudes, perceptions, enablers/barriers, and level of uptake of evidence-based practice (EBP) and research within the medical radiological technologist (MRT) community in Canada.
Using the Canadian Association of Medical Radiation Technologists' e-mail distribution list, all members were sent an invitation and link to an online electronic survey. The survey included demographics and questions asking participants about their perceptions of EBP, research, and barriers. Data were analyzed with descriptive statistics and partial proportional odds models.
Four hundred and forty-four completed surveys were available for analysis. Respondents showed good distribution among professions and geographical location. Eighty-four percent of respondents indicated having a good grasp of the concept of EBP. A majority of the respondents (>70%) in all the professions strongly agreed/agreed that all MRTs should practice in an evidence-based manner. Eighty percent of respondents strongly agreed/agreed that there is a link between EBP and research. There was a statistically significant association between the current level of knowledge to develop a research project and level of academic research education received, research culture in the department, and the presence of barriers. Partial proportional odds model indicates participants were more likely to have a good grasp of EBP and have strongly agreed/agreed that they should practice in an evidence-based manner if they were a radiation therapist, have medium-high current levels of research knowledge, or were a permanent full-time employee. In addition, radiation therapists were at least 4 times more likely to participate in research as a primary or coinvestigator, compared to other MRT professions. Most frequently identified extrinsic barriers to EBP/research included lack of time, heavy workload, lack of leadership support, and workplace attitudes/culture. Extrinsic success factors included access to a mentor, dedicated time, collaboration, and support from management and peers. Intrinsic success factors were as follows: self-motivation, sense of inquiry/curiosity, and satisfaction with creating patient or workplace change based on research.
This pan-Canadian, interprofessional survey highlights the current landscape with respect to perceptions and uptake of EBP and research among MRTs. Results of this study may offer MRTs, employers, educational facilities, and professional bodies insight into strategies that can be undertaken to improve MRT research participation across professions.
调查加拿大医学放射技师（MRT）群体对循证实践（EBP）和研究的态度、看法、促进因素/障碍以及接受程度。
利用加拿大医学放射技师协会的电子邮件分发列表，向所有成员发送了一份邀请，并提供了在线电子调查的链接。调查包括人口统计学信息和询问参与者对 EBP、研究和障碍的看法的问题。使用描述性统计和部分比例优势模型对数据进行分析。
共分析了 444 份完成的调查。受访者在职业和地理位置方面分布良好。84%的受访者表示对 EBP 的概念有很好的理解。大多数（>70%）职业的受访者强烈同意/同意所有 MRT 都应循证实践。80%的受访者强烈同意/同意 EBP 与研究之间存在联系。目前知识水平与开展研究项目的水平、科室研究文化和障碍的存在之间存在统计学显著关联。部分比例优势模型表明，如果参与者是放射治疗师、具有中等偏高水平的当前研究知识或为全职永久员工，则更有可能很好地掌握 EBP，并强烈同意/同意他们应该循证实践。此外，与其他 MRT 职业相比，放射治疗师作为主要或共同研究者参与研究的可能性至少高出 4 倍。EBP/研究的最常见外在障碍包括缺乏时间、工作量大、缺乏领导支持以及工作场所态度/文化。外在成功因素包括有导师指导、有专门时间、合作以及获得管理层和同行的支持。内在成功因素包括：自我激励、探究/好奇心和根据研究为患者或工作场所带来变化的满意度。
这项全加拿大、跨专业的调查突出了 MRT 对 EBP 和研究的看法和接受程度的现状。这项研究的结果可能为 MRT、雇主、教育机构和专业机构提供有关可采取哪些策略来改善跨专业 MRT 研究参与的见解。
